Individual provider Active NPI

Jenaro Scarano-Garcia, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Ponce, PR
National Provider Identifier
1407854060
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
8241 Issued in PR
Practice address
8186 Calle Concordia
Ponce, PR 00717-1515
Phone
(787) 840-9015
Fax
(787) 848-5820
NPI assigned
Jul 8, 2005
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 8241 PR Primary

Addresses

Primary practice location

8186 Calle Concordia
Ponce, PR 00717-1515

Mailing address

PO Box 801058
Coto Laurel, PR 00780-1058
Phone (787) 840-9015

Other identifiers 3

IdentifierTypeStateIssuer
99647OtherPRTRIPLE S PROVIDER
3102OtherPRINT MED CARD PROVIDER
7320016OtherPRHUMANA PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000317 PR Practitioner - Neurology 4981682283 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Concordia Esquina Luna
Edf San Geraldo
Ponce, PR 00731-0001
Phone (787) 840-9015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8241PRMDNeurology with Special Qualifications in Child Neurology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1407854060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801058",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801058",
            "telephone_number": "787-840-9015",
            "fax_number": "787-848-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8186 CALLE CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171515",
            "telephone_number": "787-840-9015",
            "fax_number": "787-848-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARANO-GARCIA",
        "first_name": "JENARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "8241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROVIDER",
            "identifier": "99647",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INT MED CARD PROVIDER",
            "identifier": "3102",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER",
            "identifier": "7320016",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.